| NPI | 1437317328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA CHIGOZIE MEKKAM Physician Assistant 510-799-7658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 19661) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |